Individual
NICOLE KRISTEN BAZINET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
710 N PERSON ST APT 206, RALEIGH, NC 27604-1284
(781) 864-3569
Mailing address
710 N PERSON ST APT 206, RALEIGH, NC 27604-1284
(781) 864-3569
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-314949
—
225X00000X
Occupational Therapist
Primary
11596
NC
Other
Enumeration date
01/30/2009
Last updated
08/01/2024
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